8 Best AI Tools for Dentists in the USA (2026): X-Rays, Notes, and Phones on Autopilot

AI tools for dentists: 8 tools, from $29 a month to quote-only

Dental AI here means software that reads X-rays, writes clinical notes from speech, or answers the practice phone — it does not replace the dentist's diagnosis. This guide compares 8 AI tools for dentists in the USA, with prices checked against each vendor's own pricing page on 7 November 2026. The cheapest published entry point is Dialzara at $29 a month, while the two biggest imaging names, Pearl and Overjet, publish no price at all and sell by quote.

Dentists use AI in four places: radiograph analysis, clinical documentation, after-hours phone handling, and patient communication. The clinical tools need FDA clearance; the administrative ones do not. That split shapes the market: imaging vendors hide prices behind a sales call, while phone and charting tools mostly publish theirs. One warning first: not every tool that answers a dental phone is safe for patient health information. Smith.ai states plainly that it is not HIPAA-compliant, which rules it out for calls involving patient details.

Dentist in a white coat and face mask reviewing a panoramic dental X-ray on a monitor in a bright modern clinic

Illustration created for INORYVA

AI tools for dentists compared

Tool	What the AI does	Price (vendor page, 7 Nov 2026)	Best for
Pearl Second Opinion	FDA-cleared X-ray analysis, 2D and 3D	Not published — quote only	Widest imaging clearance
Overjet	FDA-cleared X-ray analysis, charting, image enhancement	Not published — quote only	Large groups and DSOs
Denti.AI OneStop	Notes, voice perio, X-ray AI, auto-charting	$399 a month or $3,990 a year, one location	One platform for the whole clinic
Bola AI	Voice perio and restorative charting, AI scribe	Not published — quote only	Hands-free charting
Weave	Phones, texting, reminders, call intelligence	From $199 a month	Front-desk communication
Dialzara	AI receptionist, messages, transfers	From $29 a month for 60 minutes	Cheapest phone cover
Smith.ai AI Receptionist	AI call answering with live-agent backup	Free for 25 calls; Pro $150 a month for 75 calls	Testing AI answering cheaply
Open Dental AI Image Analysis	AI radiograph analysis inside Open Dental	$149 a month per location	Practices already on Open Dental

1. Pearl Second Opinion: the widest FDA-cleared imaging

Pearl's Second Opinion analyses dental X-rays chairside and highlights caries, calculus, periapical radiolucencies, and bone loss. Pearl is the first dental AI company cleared by the FDA for both 2D and 3D imaging, adding a December 2025 panoramic clearance to its bitewing, periapical, and CBCT clearances. It works across more than 30 imaging and practice management platforms and is used in over 23,000 practices in 120 countries, according to the vendor. Pearl publishes no price: the only way to get a number is a demo and a quote.

2. Overjet: the DSO-scale clinical platform

Overjet starts with imaging AI and extends into revenue cycle management, enterprise analytics, and multi-location governance. Its own comparison page credits it with ten FDA-cleared modules covering caries and calculus detection for adults and children, periapical radiolucency, automated dental charting, and image enhancement. Overjet is the first and only dental AI platform FDA-cleared to enhance images, improving blurry or noisy X-rays without losing clinical detail, and it holds a distinct clearance for bone-level quantification. Overjet publishes no pricing; reported figures run from roughly $500 a month for a single location to several thousand for large groups.

Dental receptionist smiling while answering a phone at a front desk with a blurred appointment calendar on a monitor

Illustration created for INORYVA

3. Denti.AI OneStop: one platform for notes, voice, and imaging

Denti.AI builds every AI the clinical workflow needs on one spine. OneStop Clinical costs $399 a month, or $3,990 a year, for one location with unlimited users, covering an AI scribe for real-time clinical notes, Voice Perio for hands-free periodontal charting in about five minutes, Voice Auto-Chart with CDT code mapping, and Detect, its FDA-cleared imaging analysis for panoramic and intraoral X-rays. Detect on its own is offered to qualified DSOs and partners at $49 a month per location — a separate offer, not the full platform price.

4. Bola AI: voice charting that keeps hands on the patient

Bola AI is a voice-driven assistant for dentistry: hands-free perio charting, voice restorative charting, and an AI scribe that turns the visit into clinical notes. The vendor says a hygienist can finish a full perio chart hands-free, with voice commands for bleeding points, suppuration, mobility, furcation, and recession, and that restorative charting for a visit can be completed in under two minutes. Bola claims more than 10,000 active users and over three million charts completed, and it names six systems for write-back: Dentrix, Dentrix Ascend, Eaglesoft, Fuse, Curve, and Open Dental. Bola publishes no price; the route is a demo and a custom quote.

5. Weave: the front desk, phones and texting in one place

Weave is the patient communication platform for the front desk: phones, texting, online scheduling, reminders, reviews, and payments, with Call Intelligence AI analysing calls. Its own pricing page starts the platform at $199 a month, with pre-bundled solutions from $149 and individual solutions at varying prices on top. Where Weave wins is breadth: one system replaces a phone provider, a texting tool, and a review tool.

6. Dialzara: the cheapest AI receptionist on this list

Dialzara answers calls, takes messages with custom questions, transfers calls, and books appointments, with add-ons for outbound calls, SMS, and website chat. Its published pricing is the clearest in the category: Business Lite at $29 a month for 60 minutes, Business Pro at $99 for 220 minutes, Business Plus at $199 for 500 minutes, and Business Elite at $349 for 1,000 minutes, with overage from $0.35 to $0.48 a minute depending on the plan. Dialzara is not dental-specific, and its pricing page does not name HIPAA compliance or dental software integrations, so a practice must check both before routing patient calls through it.

7. Smith.ai: free to test, but not for patient health information

Smith.ai sells three kinds of answering: an AI receptionist, a hybrid of AI and live agents, and human-only virtual receptionists. The AI plans bill per call, not per minute: Free covers 25 calls a month at $0, then $3 a call; Pro starts at $150 a month for 75 calls; Enterprise starts at $500 a month for 300 calls. Every plan includes 24/7 answering, call recording, transcription and summaries, lead qualification, routing, AI scheduling, and analytics, and the AI can escalate to a live North America-based agent when a call needs a human touch. The hard limit is compliance: Smith.ai states it is not HIPAA-compliant, so a dental practice cannot route calls involving patient health information to it.

Dental hygienist in blue scrubs and gloves examining a male patient reclined in a dental chair

Illustration created for INORYVA

8. Open Dental AI Image Analysis: imaging for practices already on Open Dental

Open Dental, one of the most widely used practice management systems in the USA, offers its own AI Image Analysis inside the Imaging Module, powered by BetterDiagnostics. It costs $149 a month per location on top of Open Dental itself, which is $199 a month per location for the first 12 months and then $149 a month. The advantage is integration: the AI lives inside the system the practice already uses, with no second login and no separate imaging workflow.

What to check before you buy dental AI

First, confirm the FDA clearance scope in writing: clearance covers specific findings on specific image types, and a vendor cleared for bitewings is not automatically cleared for CBCT. Third, confirm the practice management integration is real write-back, not a copy-and-paste export. Fourth, price the whole stack, not the headline: Weave starts at $199 a month before add-ons, Dialzara charges overage per minute, and Pearl and Overjet require a quote that varies widely by location count. The same rule runs through the whole profession series — our guides to AI tools for real estate agents, AI tools for teachers, and AI tools for salon owners all use verified prices only, and quote-only where the vendor publishes nothing. For a broader small-business view, see our AI tools for small businesses guide.

Key Takeaways

Pearl and Overjet are the leading FDA-cleared imaging tools, but neither publishes a price — both sell by quote, so get the number in writing before budgeting.
Denti.AI OneStop is the most complete published-price package at $399 a month or $3,990 a year per location, covering notes, voice perio, and FDA-cleared imaging.
Dialzara is the cheapest published entry point at $29 a month for 60 minutes, and Smith.ai lets a practice test AI answering free for 25 calls a month.
Smith.ai is not HIPAA-compliant, so it cannot take calls involving patient health information — always confirm a signed Business Associate Agreement first.
Open Dental practices can add AI radiograph analysis for a flat $149 a month per location, the cheapest imaging option on this list.

Conclusion

For most single-location US dental practices, the sensible starting stack is Denti.AI for the clinical side, Weave or Dialzara for the phones, and a careful look at Pearl or Overjet only when the imaging volume justifies a quote.

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